Individual
MRS. PATRICIA A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
1425 BURNHAM AVE, CALUMET CITY, IL 60409-6124
(708) 868-0134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
057-001271
IL
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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